Rezayat, Colby James

Rezayat, Colby James is an individual health care provider with primary practice located at 816 N 15Th St , Mount Vernon WA 98273-3417. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rezayat, Colby James can be contacted via phone (360) 421-2065.

Contact Information

Primary practice address
816 N 15Th St Mount Vernon WA 98273-3417
Phone: (360) 421-2065
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW61096339 Washington

Profile Details

NPI number 1447666532
LBN Legal business name Rezayat, Colby James
Credentials LICSW, SUDPT, GMHS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2014
Last updated Nov 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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